MRI lower back without contrast at Baylor Scott & White All Saints Medical Center - Fort Worth. CPT 72148.
What Baylor Scott & White All Saints Medical Center - Fort Worth publishes for this service, straight from its standard-charges file, last updated June 29, 2026.
Outpatient / ER
$2,190cash price (self-pay)
$3,650list price
$197–$2,738range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Cook Children's Health Plan | Medicaid | $197 |
| Superior Health Plan | Medicaid | $197 |
| Aetna | Medicaid | $201 |
| Baylor Scott & White Health Plan | Medicare Advantage | $228 |
| CORVEL | Worker's Compensation | $233 |
| Aetna | Medicare Advantage | $240 |
| Humana | Medicare | $240 |
| TriWest | Community Care Network | $240 |
| American Health Plan | Medicare Advantage | $252 |
| Blue Cross Blue Shield | Medicare Advantage | $252 |
| HealthSpring | Medicare Advantage | $252 |
| ProCare Advantage | Medicare Advantage | $252 |
| Superior Health Plan | Medicare | $252 |
| Baylor Scott & White Health Plan | BSW Premier - Small Group | $288 |
| Baylor Scott & White Health Plan | BSW Premier - Individual | $301 |
| Prime Health Services | Worker's Compensation | $302 |
| Sedgwick | Preferred Network | $358 |
| Baylor Scott & White Health Plan | BSW Plus - Small Group | $395 |
| Superior Ambetter | Ambetter Exchange | $515 |
| Mark Cuban | Commercial | $607 |
| Blue Cross Blue Shield | Blue Advantage | $762 |
| Blue Cross Blue Shield | Blue Premier/High Performance Network/My Blue | $1,081 |
| Blue Cross Blue Shield | City of Dallas | $1,452 |
| Blue Cross Blue Shield | Blue Essentials (HMO) | $1,531 |
| Blue Cross Blue Shield | BlueChoice (PPO) | $1,613 |
| Employers Health Network | BSWQA Direct/EHN Rental | $1,716 |
| Imagine Health | Commercial | $1,718 |
| Baylor Scott & White Health Plan | BSW Premier - Large Group/BSW Premi | $1,818 |
| Cigna | Local Plus | $1,952 |
| Aetna | Commercial | $2,008 |
Inpatient
$2,190cash price (self-pay)
$3,650list price
$2,008–$2,555range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| QuikTrip | Employee Benefit Plan | $2,008 |
| Curative | Commercial | $2,373 |
| First Health | PPO | $2,555 |
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All common services at Baylor Scott & White All Saints Medical Center - Fort Worth